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HomeMy WebLinkAbout2403 SACADA CIR; ; CB162642; Permit07-08-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB162642 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2403 SACADA CR CBAD PME Status: ISSUED 07/08/2016 JMA 07/08/2016 07/08/2016 Parcel No: 2161903701 Reference #: PC#: Project Title: STREET: REPLACE EXIST. RTU Applicant: GUTHRIE AND SONS INC 3914 HICOCK ST SAN DIEGO CA 92110 619 269-3013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: STREET HELEN 16823 N 53RD ST SCOTTSDALE AZ. 85254 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE 1 12-y , n s1GNAT\JRE \?. e )g..ffi 2\ • I • FINAL APPROVAL Date: Clearance: $0.00 t>DllCE: Rease ta<e t>DllCE: that aww.,I rJ your prtject irdl.des the "lrrpositiori' rJ-, declcations, reservations, or cit-er exa:tioos -rol~vay -to as "fees/exa:tiors." You hal.e 9J days frantt-e-this perm!""" iSSl.ed to praest irrposition rJ these feeslexa:tiors. If you praest then you rrust fcjloothe praest procedures set forth in Gc>,e-m-s"I Code ~on ffil20(a), ard filett-e praest ard any cit-er req,iral infooralion wth theOtylv'Bna;JerhY ~rg in a;:airda-n!IM!h Ga1sba;i Mridpal Code ~on 3.32.030. Falcretotirrayfdloothat proredurewll bar en; su:,seqcert legal action to attad<, r,,,iew, set aside, vod, or amJ tt-er irrposition. You are hereby R.RTI-ER t>DllREDthat Y'll rigt to praest the Sl"cified fees/exa:tions oc:es t>Of l'H'L Y towaer ard -~on fees ard ~ cha1ges, nor Jjamrg, zorirg, g-aclrg or cit-er snilar ,wiaiion ~rg c.-servre fees in ~on wth tns prtject. r-.1:R oc:es IT l'H'L Y to any · · j:::.,,...,, • •------•------•.,..,,...,_..."Unil"rtn+h;,,. · +h,,,,.,+-,,t,,.,,.,41j · • · • .. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD {'city of Building Permit Application Plan Check No. (f½I "'~ 2.lo'-IZ.-. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 7.8;. 1-b lswPPP JOB A00240 ~ SUITE#/SPACE#/UNITf IAPN 5Al.--A.DA-C..t/Z-, --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPT~ WORK: Include Square Fe&cted Area(s) -,,-,, " , ~ I I, -• e v/J/T EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO,_ No[] YES □No□ YES □No□ APPLICANT NAME ······-·rtia..c:-....o..::, Primary Contact &:--~ ADDRESS ADDRES2.'-/o 3, ::A-~Olr c....1a.. CITY STATE ZIP CITY STATE ZIP C,:tl2t-_s 13,i!tt:> 6A--q '2 &J er '1 PHONE IFAX PH& ?.-I{ 5"' (:> 5"'';/-f,, I FAX -s-o EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~ ·o,~ ~ So..:>:s u ADDRESS ADDRESS ' C?'\ I l L ,\--\ \ C,ov(!:. "$T" CITY STATE ZIP CITY . STATE ZIP «c:,~ t:>1~c:, Cl'<: a ... 11 c,. PHONE IFAX PHONE ''1 IFAX {Q/ 2<,,"'t -:Z,ot~ EMAIL EMAIL I STATE UC.# STATE LIC#8'+52-1-") l'lASe,.,-io 1°'71";~ l.f !?ti (Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, comme_ndingwith Section 7000 of Division 3 of the B_usiness and Professions Code} or that he ,s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ have and will maintain workers' compensation, as required by SecUon 3700 of the Labor Code, for the performance of the wori< for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo.~ ,¼~~ PolicyNo. ):~UJE.-CJ:>R."[oq1. ExpirationDate l,(J/IT ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cover e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, ided for in Secti 37 6 of the Labor code, Interest and attomey's fees. Ji'5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wori< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owoer-builderwill have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an applicatkin for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wori< indicated (include name I address I phone I type ofwori<): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Perm it#: CB 162642 Type: PME Date lnsp.,ction Item 07/21/2016 43 AirCond/Furnace Set 07121/2016 49 Final Mechanical Thursday, January 26, 2017 Inspector Act MC CO MC CO STREET: REPLACE EXIST. RTU Comments NOTICE Page 1 of 1 --... ..-~~--__,,,CORRECTION {_ City of Carlsbad NOTICE COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION DATE '2-1 _It y...,'f 1,.oj ?, (760) 602-2700 1635 FARADAY AVENUE TIME _______ _ JOB LOCATION "2-40 3 . $Ll.dt.-~ CL. A PERMIT NO. SW _______ _ ~t-~1 [o. ! s,~ r ~ -$1A~ Ll.-S L..u':'Sf.. .:1,s l-:n~n~L-l::--1-0 n 1.::. r_ .. ~0trjvtE.r It I, t LC:...T. 4 . ~v I l--'(::.. CD~..&.c, LJ.r;,,.,...;a,!.. "' , ~ , E.. f"~ ~ 4---'j S -t 0 !Zoc-F (:::. <t:> o\ 1 -1-l 0 I(. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? □ YES FOR FURTHER INFORMATION, CONTACT THE BUILDING DIVISION AT (760) 602-2700 J/1;/. /c:y{_J_,,i,,r. s "'760 bY2. 2"711 • BUILDING INSPECTOR □ NPDES / BMP -FOLLOW-UP INSPECTION DATE --------